Comments on: Hospital stay not part of process for some moms http://www.sydneymidwife.com.au/2009/09/hospital-stay-not-part-of-process-for-some-moms/?utm_source=rss&utm_medium=rss&utm_campaign=hospital-stay-not-part-of-process-for-some-moms The blog of Melissa Maimann: a Medicare-eligible midwife in Sydney. Sat, 14 Jan 2012 18:24:37 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Marge http://www.sydneymidwife.com.au/2009/09/hospital-stay-not-part-of-process-for-some-moms/comment-page-1/#comment-1113 Marge Thu, 24 Sep 2009 11:41:38 +0000 http://www.sydneymidwife.com.au/?p=1022#comment-1113 As far as the Aussie data goes, we had a HBAC this August, so one more safe birth for the home team. Other families who want this choice deserve the opportunity, and private midwives deserve to be able to attend. I'm done having children now, but that's no reason to turn away from these issues. As far as the Aussie data goes, we had a HBAC this August, so one more safe birth for the home team. Other families who want this choice deserve the opportunity, and private midwives deserve to be able to attend. I’m done having children now, but that’s no reason to turn away from these issues.

]]> By: Melissa Maimann http://www.sydneymidwife.com.au/2009/09/hospital-stay-not-part-of-process-for-some-moms/comment-page-1/#comment-1112 Melissa Maimann Thu, 24 Sep 2009 04:10:56 +0000 http://www.sydneymidwife.com.au/?p=1022#comment-1112 Hi there, this was from the original article. It's not my words. VBAC was agreed in the criteria in Canada. It's sad that it's not the case here and we need to present our own data to show that HBAC is a safe option. Interestingly in the Canadian study, the only ruptures were in the OB group, and they were not in VBAC women! Hi there,
this was from the original article. It’s not my words. VBAC was agreed in the criteria in Canada. It’s sad that it’s not the case here and we need to present our own data to show that HBAC is a safe option. Interestingly in the Canadian study, the only ruptures were in the OB group, and they were not in VBAC women!

]]> By: Marge http://www.sydneymidwife.com.au/2009/09/hospital-stay-not-part-of-process-for-some-moms/comment-page-1/#comment-1110 Marge Thu, 24 Sep 2009 01:11:38 +0000 http://www.sydneymidwife.com.au/?p=1022#comment-1110 Here is a link about the new Ontario study published in "Birth". http://www.medicalnewstoday.com/articles/164804.php Please note that this is another Canadian study, this time compiled by midwives, and please note that women with MORE than one previous cesarean were excluded-meaning low risk HBA1C mothers were included. "Almost 6,700 planned home births in Ontario were assessed in the study. Results indicated that newborns and mothers were no more likely to suffer complications than their counterparts in a clinical setting." ... "The criteria for home birth are set by the College of Midwives of Ontario. Ineligible women for home birth include: • Twin pregnancy • Breech or medically complicated pregnancies • Women with more than one previous cesarean section • Women with gestation less than 37 weeks • Women with gestation more than 43 weeks at the onset of birth" Any guidelines established for homebirth must allow HBAC. Here is a link about the new Ontario study published in “Birth”.

http://www.medicalnewstoday.com/articles/164804.php

Please note that this is another Canadian study, this time compiled by midwives, and please note that women with MORE than one previous cesarean were excluded-meaning low risk HBA1C mothers were included.

“Almost 6,700 planned home births in Ontario were assessed in the study. Results indicated that newborns and mothers were no more likely to suffer complications than their counterparts in a clinical setting.”

…

“The criteria for home birth are set by the College of Midwives of Ontario. Ineligible women for home birth include:

• Twin pregnancy
• Breech or medically complicated pregnancies
• Women with more than one previous cesarean section
• Women with gestation less than 37 weeks
• Women with gestation more than 43 weeks at the onset of birth”

Any guidelines established for homebirth must allow HBAC.

]]> By: Marge http://www.sydneymidwife.com.au/2009/09/hospital-stay-not-part-of-process-for-some-moms/comment-page-1/#comment-1109 Marge Thu, 24 Sep 2009 00:51:40 +0000 http://www.sydneymidwife.com.au/?p=1022#comment-1109 "Both sides acknowledge that home births are not for everyone, especially if a woman has had a previous Caesarean section..." Hey Melissa, this is your blog and you do a fantastic job of compiling and commenting on these news stories. BUT, in Canada 1 previous LSCS is still considered low-risk and women are routinely offered HBA1C. This is a fact that cannot be emphasized enough as the rules around homebirthing are tightening like a noose. I would hate to see HBAC disappear in AU and the US just because OBs want to unjustifiably make it seem high risk, especially as the VBAC rate is so dismally low that to try for a VBAC in hospital is just asking for another surgery, with or without a private midwife. “Both sides acknowledge that home births are not for everyone, especially if a woman has had a previous Caesarean section…”

Hey Melissa, this is your blog and you do a fantastic job of compiling and commenting on these news stories.

BUT, in Canada 1 previous LSCS is still considered low-risk and women are routinely offered HBA1C.

This is a fact that cannot be emphasized enough as the rules around homebirthing are tightening like a noose. I would hate to see HBAC disappear in AU and the US just because OBs want to unjustifiably make it seem high risk, especially as the VBAC rate is so dismally low that to try for a VBAC in hospital is just asking for another surgery, with or without a private midwife.

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